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https://www.newsweek.com/big-pharma-opioid-crisis-bribery-arrest-694154

https://parentsagainstmandatoryvaccinesdotnet.wordpress.com/tag/big-pharma/

Big Pharma is America's New Mafia

https://thehealthcareblog.com/blog/category/health-tech/tech/

https://www.alternet.org/2016/07/big-pharma-bribes-doctors-sell-drugs/

By 2010, much of the over-the-top Pharma largesse had ended. Not just because the press and Sunshine Act exposed the huge payments, naming names—but because practically every major drug company from GlaxoSmithKline (GSK), Eli Lilly, Abbott, AstraZeneca, Pfizer and Johnson & Johnson to Amgen, Allergen, Bristol-Myers Squibb, Cephalon, Novartis and Purdue had settled a wrongdoing suit. Both doctors and the public largely viewed Pharma's safety and effectiveness claims as 'bought' by such extravagance.

1) Blue Cross Blue Shield said that Pfizer jetted 5,000 doctors to Caribbean resorts where they enjoyed massages, golf and $2,000 honoraria to try to increase prescriptions for its painkiller Bextra—a drug that proved so unsafe it was withdrawn from the market in 2005 for heart risks.

2) The Justice Department charged that GlaxoSmithKline (GSK) "paid millions to doctors to promote Wellbutrin, approved at the time for depression, for off-label uses by funding meetings, sometimes at lavish resorts" according to CBS News. Off-label uses ignore FDA approved indications in favor of whatever Pharma wants to say to sell a drug.

3) In China, GSK was charged with being even more brazen—employing a network of 700 middlemen and travel agencies and sex workers to convince doctors to prescribe its drugs.

4) Johnson & Johnson wined and dined Texas Medicaid officials, charged state authorities, treating them to trips, perks and honoraria to get its expensive antipsychotic drug Risperdal preferred status on the state formulary where it would be paid for by taxpayers. Taxpayers were also bilked by the Department of Veterans Affairs expenditure of $717 million on Risperdal only to discover the drug worked no better than a placebo.

5) Bristol-Myers Squibb enticed doctors to prescribe its drugs with access to the Los Angeles Lakers and luxury box suites for their games, according to California regulators.

6) And, in keeping with the marketing free-for-all that has hooked so many Americans on opioid drugs, opioid maker Victory Pharma was charged with treating doctors to mortgage assistance and… lap dances.

Golf Trips Are Not the Only Way Pharma Pays Doctors

Doctors may not get to go to the Caribbean as they once did, but they make a huge amount of money from Pharma by giving speeches promoting its drugs. The speech-givers, who sit on Pharma’s speakers' bureaus are considered "key opinion leaders", capable of convincing other doctors of a drug's benefits so they will then prescribe the drug.

According to ProPublica, Sujata Narayan, a family medicine doctor practicing in Stanford, CA earned an astounding $43.9 million promoting drugs for Pharma. Karen Underwood, a pediatric critical care doctor in Scottsdale, AZ received a walloping $28 million. Moreover, hospitals are also awash in Pharma money with the City Of Hope National Medical Center receiving $361 million and the Cleveland Clinic Foundation $22 million.

Pharma also pays doctors to conduct studies of its drugs often paying them for each subject they recruit and winning their loyalty because they are then familiar with the drug after monitoring subjects on it. A huge Pfizer trial of the drug Neurontin was conducted just this way charged Carl Elliot in the New York Times: 772 study investigators were recruited so they would personally prescribe the drug once they were familiar with it. The study was not conducted to establish effectiveness and safety and the joke was on them and the public.


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